Individual
AMY DANIELLE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, QMHP
Contact information
Practice address
323 N STATE ST, CARO, MI 48723-1537
(989) 673-6191
Mailing address
11667 CHAREST ST, HAMTRAMCK, MI 48212-3026
(313) 442-6272
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
07/19/2021
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